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CER'1'1F1C.A'1'E OF COM ILL E'HON <br /> 1. Grantee: Orange County 2. Grant Number: 10-C-2125 <br /> 3. Project Name: Scattered Site Housing Rehabilitation 4. Project Number: C-1 <br /> To Be Completed by Recipient <br /> Paid Costs Unpaid Costs Total Costs proved <br /> Total rogram Activity Categories (Col.b+c) rAp 'Costs <br /> Approved <br /> Total C, <br /> (a) (b) (C) (d) (e) <br /> a. Acquisition $0.00 $0.00 <br /> b. Disposition $0.00 $0.001 <br /> c. Public facilities and improvements <br /> (1) Senior and handicapped centers $0.00 $0.00 <br /> (2) Parks,playgrounds and recreation facilities $0.00 $0.00 <br /> (3) Neighborhood facilities $0.00 $0.00 <br /> (4) Solid waste disposal facilities $0.00 $0.00 <br /> (5) Fire protection facilities and equipment $0.00 $0.00 <br /> (6) Parking facilities $0.00 $0.00 <br /> (7) Street improvements $0.00 $0.00 <br /> (8) Flood and drainage improvements $0.00 $0.00 <br /> (9) Pedestrian improvements $0.00 $0.00 <br /> (10) Other public facilities $0.00 $0.00 <br /> (11) Sewer improvements $0.00 $0.00 <br /> (12) Water improvements $0.00 $0.00 <br /> d. Clearance activities $0.00 $0.00 <br /> e. Public services $0.00 $0.00 <br /> f. Relocation assistance $0.00 $0.00 <br /> g. Construction,rehab.and preservation activities <br /> (1) Construction or rehab.of com.&indust.bldgs. $0.00 $0.00 <br /> (2) Rehabilitation of privately owned buildings $311,257.00 $311,257.00 <br /> (3) Rehabilitation of publicly owned buildings $0.00 $0.00 <br /> (4) Code enforcement $0.00 $0.00 <br /> (5) Historic preservation $0.00 $0.00 <br /> It. Development financing <br /> (1) Working capital $0.00 $0.00 <br /> (2) Machinery and equipment $0.00 $0.00 <br /> i. Removal of architectural barriers $0.00 $0.00 <br /> I... Other activities $0.00 $0.00 <br /> k. Subtotal $311,257.00 $311,257.00 <br /> 1. Planning $0.00 $0.00 <br /> in. Administration $40,000.00 $40,000.00 <br /> n. Total $351,257.00 $351,257.00 <br /> lo. Less: Program Income Applied to Program Costs $0.00 <br /> 1p. Equal: Grant Amount Applied to Program Costs $351,257.00 $351,257.001 <br /> To Be <br /> Completed By <br /> Description Recipient • <br /> (a) Amount Approved Amount <br /> (b) (c) <br /> (1) Grant Amount Applied To Program Costs(From Line p) $351,257.00 <br /> (2) Estimated Amount For Unsettled Third-Party Claims <br /> (3) Subtotal $351,257.00 <br /> (4) Grant Amount Per Grant Agreement $ 400,000.00 <br /> (5) Unutilized Grant To Be Canceled(Line 4 Minus Line 3) $ 48,743.00 <br /> (6) Grant Funds Received $ 351,257.00 <br /> (7) Balance of Grant Payable(Line 3 Minus Line 6)* 1 <br /> * If Line 6 exceeds Line 3,enter the amount of the excess on Line 7 as a negative amount.This amount shall be repaid to DOC by <br /> check,unless DOC has previously approved use of these funds. <br />